Reduction of intrapulmonary shunt and resolution of digital clubbing associated with primary biliary cirrhosis after liver transplantation
James K. Stoller, Douglas Moodie, William A. Schiavone, David Vogt, Thomas Broughan, Eugene Winkelman, Patrice K. Rehm, William D. Carey – 1 January 1990 – This report describes a patient with marked hypoxemia caused by intrapulmonary shunt associated with primary biliary cirrhosis. Liver transplantation resulted in resolution of digital clubbing and reduction of intrapulmonary shunt as demonstrated by normalization of room air arterial blood gases, reduction in shunt fraction and normalization of the indocyanin‐enhanced echocardiogram and perfusion lung scan.